NPI | 1932580545 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNE WALLACE Chief Executive Officer 216-441-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 0708) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0708) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2017-04-21 |